2.2 ECG Monitoring
93
Normal detection of PM is guaranteed only for impulses with the following parameters: duration
1.5 - 15.5 ms, amplitude not less than 0.6 mV. Such impulses must be present in at least one
lead. If the parameters of impulses in all leads are outside the specified limits, the device may
not recognize the presence of the pacemaker.
2.2.8. Features of the Operation in the Operating Rooms
The device is protected from interference induced by electrosurgical instruments (including HF
coagulators).
The device must be connected to a power socket with a grounding contact and a functional pro-
tective grounding circuit (see Fig. 1-7, a). Do not plug the device into a socket without grounding
(see Fig. 1-7, b) or an extension cord without grounding (see Fig. 1-7, c).
For stable operation of the device together with electrosurgical devices, it is necessary to con-
nect the protective grounding wire to the protective ground terminal on its rear panel (see Fig. 1-
3, position 5). Also it is not allowed to connect the monitor and the electrosurgical equipment to
the same extension cord or a socket strip.
When monitoring ECG in operating rooms, artifacts caused by the operation of electrosurgical
equipment can affect the ECG waveform. To avoid this, apply electrodes in the shoulder girdle
area on the right and left and in the lower abdomen on the right and left. Avoid placing elec-
trodes on the shoulders, as the ECG signal in this case can be very weak.
When monitor is used simultaneously with equipment generating high frequency currents
(HFC), the ECG waveform may be distorted. Distortions of the ECG curve disappear immediate-
ly after stopping their generation. The device has an operating room mode (ESU), which activa-
tion reduces the indicated ECG waveform distortions and disables the RSP channel.
2.2.9. Disinfection of the Patient Cable
Disinfection of the patient cable is carried out in accordance with the requirements of MU-287-
113 by wiping them with a 3% solution of hydrogen peroxide with the addition of 0.5% neutral
detergent of the "Lotos" type (it is allowed to use other disinfectants of different manufacturers,
taking into account their methodology applications).
Do not allow liquid to get on the cable connector pins, this can lead to its
failure.
When disinfecting the cable by pulling it through the disinfectant sponge,
do not apply excessive tensile force to it.
The use of high temperatures and chemical sterilization methods associated
with immersion of the cable in liquid is not allowed for the disinfection of
the sensors. DO NOT DISINFECT CABLE BY IMMERSION IN A DISINFECT-
ING SOLUTION!
Warranty service for cables that fail as a result of improper operation is not
performed.
Summary of Contents for MPR6-03
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